Individual provider Active NPI

Mfon Essien Umoren, NP

  • Hospice Registered Nurse
  • Downey, CA
National Provider Identifier
1891338869
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice Registered NurseTaxonomy code 163WH1000X
License
773728 Issued in CA
Practice address
12200 Bellflower Blvd
Downey, CA 90242-2804
Phone
(562) 322-7129
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
773728CAMDHospice Registered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered Nurse 163WH1000X 773728 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

12200 Bellflower Blvd
Downey, CA 90242-2804

Mailing address

15619 Seaforth Ave
Norwalk, CA 90650-7364
Phone (562) 316-8017

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address mfon.e.umoren@kp.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 23, 2019.

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1891338869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15619 SEAFORTH AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906507364",
            "telephone_number": "562-316-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 BELLFLOWER BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422804",
            "telephone_number": "562-322-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMOREN",
        "first_name": "MFON",
        "middle_name": "ESSIEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "CA",
            "license": "773728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfon.e.umoren@kp.org",
            "affiliation": "N",
            "address_1": "12200 Bellflower Blvd",
            "city": "Downey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902422804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.